FORM 1023-EZ for BREAD OF LIFE GIVING

Field Data
EIN 83-4494371
Case Number EO-2019319-000113
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BREAD OF LIFE GIVING
Organization’s Mailing Address 2991 PETTIGREW COURT
City SAN JOSE
State CA
ZIP 95148
Accounting period End 12
Primary contact name CHARLES DANIELS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES DANIELS
DIRECTOR
2991 PETTIGREW
SAN JOSE CA 95148

Officer/Director/Trustee Two

DENISE REDICK
ASST DIRECTOR OF GIVING
34655
UNION CITY CA 94587

Officer/Director/Trustee Three

GENE POWELL
ASST DIRECTOR OF VOLUNTEERS
2717 GLEN AMADOR CT
SAN JOSE CA 95148

Officer/Director/Trustee Four

WANDA HENDRIX
TREASURER
2341 TOLBERT
SAN JOSE CA 95122

Officer/Director/Trustee Five

TERESA WELCH
SECRETARY
263 TINY
MILPITAS CA 95035

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES DANIELS
Signature Title DIRECTOR
Signature Date 11/13/19

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